NPI Code Details Logo

NPI 1043119217

NPI 1043119217 : SPECIAL AUDIOLOGY OF FLORIDA LLC : TALLAHASSEE, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1043119217
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SPECIAL AUDIOLOGY OF FLORIDA LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/04/2026
-----------------------------------------------------
    Last Update Date     |    11/04/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1201 HAYS ST 
-----------------------------------------------------
    City                 |    TALLAHASSEE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32301-2699
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-528-2116
-----------------------------------------------------
    Fax                  |    502-996-8282
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4350 BROWNSBORO RD STE 210 
-----------------------------------------------------
    City                 |    LOUISVILLE
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    40207-1681
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-528-2116
-----------------------------------------------------
    Fax                  |    502-996-8282
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VP OF REVENUE ASSURANCE
-----------------------------------------------------
    Name                 |     JOY L STEVENS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    502-244-2441
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    231H00000X
-----------------------------------------------------
    Taxonomy Name        |    Audiologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.